| NPI | 1134156037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY14709) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 1147289) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2026-05-05 |